GREGORY DAVID RICHARDSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062938

License Status

CANCELLED

Business

Title

First Name

GREGORY

Middle

DAVID

Last Name

RICHARDSON

Business Name

GREGORY DAVID RICHARDSON MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/24/2014